Bleeding Time Test
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Questions and Answers

What is the primary aim of determining the bleeding time of a patient?

  • To assess the body's ability for complete stopping of blood flow (correct)
  • To diagnose a specific bleeding disorder
  • To determine the patient's blood type
  • To monitor the patient's blood pressure
  • What is being evaluated through the bleeding time test?

  • The patient's white blood cell count
  • The body's ability to form a blood clot
  • Platelet function and the body's ability for complete stopping of blood flow (correct)
  • The patient's platelet count
  • What is not a purpose of determining the bleeding time of a patient?

  • To assess the body's ability for complete stopping of blood flow
  • To diagnose a bleeding disorder
  • To assess platelet function
  • To determine the patient's blood glucose level (correct)
  • What is an indirect assessment of through the bleeding time test?

    <p>The body's ability for complete stopping of blood flow</p> Signup and view all the answers

    Why is the bleeding time test important?

    <p>It determines the patient's risk of bleeding complications</p> Signup and view all the answers

    What is the conversion rate of spots to minutes in Ivy's method?

    <p>2 spots = 1 minute</p> Signup and view all the answers

    What is the initial pressure raised to in the BP apparatus during Ivy's method?

    <p>40 mm Hg</p> Signup and view all the answers

    What part of the body is the cuff of the BP apparatus applied to during Ivy's method?

    <p>Upper arm</p> Signup and view all the answers

    What is the purpose of raising the pressure in the BP apparatus during Ivy's method?

    <p>To induce bleeding</p> Signup and view all the answers

    What is the final step in Ivy's method after applying the cuff and raising the pressure?

    <p>Record the bleeding time</p> Signup and view all the answers

    What is the first step in the bleeding time test?

    <p>Puncture the lower part of the earlobe (or fingertip) using a lancet</p> Signup and view all the answers

    How often should the blood be wiped with a filter paper during the bleeding time test?

    <p>Every 30 seconds</p> Signup and view all the answers

    What is the indication to stop the stopwatch during the bleeding time test?

    <p>When the blood fails to appear on the filter paper</p> Signup and view all the answers

    What is the purpose of puncturing the lower part of the earlobe or fingertip?

    <p>To create a wound to measure bleeding time</p> Signup and view all the answers

    What is the final step in the bleeding time test?

    <p>Record the result and calculate the bleeding time</p> Signup and view all the answers

    What is the normal bleeding time by the method described?

    <p>Up to 9 minutes</p> Signup and view all the answers

    What is usually found when the platelet count is below 50,000/μL?

    <p>Prolonged bleeding time</p> Signup and view all the answers

    What is the clotting time?

    <p>The time interval from oozing of blood after a cut or injury till formation of clot</p> Signup and view all the answers

    What is the main purpose of the clotting time test?

    <p>To determine the clotting time of a subject</p> Signup and view all the answers

    What is the material used in the clotting time test?

    <p>Fine capillary glass tubes of about 10 mm length</p> Signup and view all the answers

    What is the method of pricking the finger in the capillary tube method?

    <p>Using a lancet</p> Signup and view all the answers

    What is the purpose of starting the stop watch in the capillary tube method?

    <p>To measure the clotting time</p> Signup and view all the answers

    What is observed after one minute of starting the stop watch in the capillary tube method?

    <p>Breaking small pieces of the capillary tube every 30 seconds</p> Signup and view all the answers

    What is a condition where bleeding time is normal, but clotting time is prolonged?

    <p>Hemophilia</p> Signup and view all the answers

    Which of the following conditions can lead to prolonged clotting time?

    <p>Vitamin K deficiency and Liver disease</p> Signup and view all the answers

    What is a possible cause of prolonged clotting time in a patient?

    <p>Vitamin K deficiency</p> Signup and view all the answers

    A patient is on anticoagulant therapy. What can be expected?

    <p>Prolonged clotting time</p> Signup and view all the answers

    Which of the following is NOT a cause of prolonged clotting time?

    <p>Bleeding disorder</p> Signup and view all the answers

    Study Notes

    Bleeding Time Test

    • Aim: to determine bleeding time to assess platelet function and body's ability to stop blood flow
    • Steps:
      • Prick the lower part of the earlobe (or fingertip) with a lancet, making a 3-4 mm deep incision
      • Start the stopwatch and wipe the blood every 30 seconds with a filter paper without squeezing
      • Stop the stopwatch when blood fails to appear on the filter paper
      • Count the spots of blood on the filter paper (each 2 spots = 1 minute)
      • Record the result and calculate the bleeding time

    Ivy's Method

    • Applied to the upper arm, with pressure raised to 40 mm Hg
    • Normal bleeding time: up to 9 minutes
    • Used on the front of the forearm

    Prolonged Bleeding Time

    • Found when:
      • Platelet count is below 50,000/μL
      • There is platelet dysfunction

    Clotting Time

    • Definition: time interval from oozing of blood after a cut or injury to formation of clot
    • Normal clotting time: 2-8 minutes
    • Aim: to determine the clotting time of a subject

    Clotting Time Test

    • Materials:
      • Fine capillary glass tubes (about 10 mm length)
      • Lancet
      • Stop watch
      • Cotton and 70% alcohol
    • Two methods:
      • Glass Container Method (Lee and White Method)
      • Capillary Tube Method

    Capillary Tube Method

    • Steps:
      • Clean the finger with 70% alcohol and allow to dry
      • Prick the finger by lancet
      • Draw blood up in the capillary glass tube
      • Start the stop watch
      • Break small pieces of the capillary tube every 30 seconds until a fibrin thread is seen between the two broken ends

    Conditions of Prolonged Clotting Time

    • Found in:
      • Hemophilia (bleeding time is normal)
      • Vitamin K deficiency
      • Liver disease
      • Anticoagulant therapy

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    Description

    A medical test to assess platelet function and the body's ability to stop blood flow, involving a lancet incision and measuring bleeding time.

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